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1 Muscle Function Jie Wang, MD PhD The Heart Failure Center College of Physicians&Surgeons Columbia University New York City, NY, USA

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1

Muscle Function

Jie Wang, MD PhD

The Heart Failure CenterCollege of Physicians&Surgeons

Columbia UniversityNew York City, NY, USA

2

Objectives

1. To understand the concept of sarcomere2. To understand the contractile mechanism

of muscle cells 3. To understand the concepts of Force-

Length relationships and Velocity-Stress relationships

4. To understand the concepts of twitch, tetanus and fatigue

5. To understand the differences between skeletal, cardiac and smooth muscle

3

Muscle Classification

LowPower

In-Voluntary

Non-Striated

HollowOrgans

Smooth

HighPower

In-Voluntary

StriatedHeartCardiac

HighPower

VoluntaryStriatedSkeletonSkeletal

OutputNeural Control

AnatomyLocation

4

Structure of Contractile Apparatus

1. Cytoskeleton: Titin, Nebulin

2. Thin Filaments(1.5 µm): Actin, Tropomyosin,nebulin, troponin

3. Thick Filaments (1.6 µm, 300-400across-bridges): Myosin, Titin

5

6

7

Structure of the Thick Filament

8

Sarcomere

9

Structure of Myofibrils

10

Sarcoplasmic Reticulum & Ca++ RegulationWithin the SR there are structural and functional divisions:

• Longitudinal SR• Junctional SR (or Terminal SR)

The Ryanodine Receptor is found in Junctional SR which is aligned to theDHP Receptor of the T tubules. Longitudinal SR has a Calcium Pump to removeCa++ from the myofilaments at the end of a contraction.

11

Structure of Sarcomere

12

Actin-Myosin Interactions

13

Sliding Filament Model of Contraction

14

Mechanical variables and Their Units

Three Primary Variables:

1. Force (g or kg, newtons {=102 g})2. Length (cell/sarcomere, meter, millimeters micrometers)3. Time

Parameters can be calculated:

1. Shortening velocity (m/sec)2. Work (forceXdistance) (nXm=joules)3. Power (work/time) (nXm/sec=watts)4. Stress (force/cell cross-sectional area) (n/m2)

15

Isometric

•Where the muscle is fixed at both ends at a certain length. When the muscle is stimulated, it cannot shorten, but develops tension (fix length, measure force as a functin of time).

16

Force-Length Relationships

17

Isotonic•Where the muscle is fixed at one end only. When the muscle is stimulated it can shorten freely and force is developed (fix force, measure shortening as function of time).

18

Velocity-Stress Relationships

19

Muscle TwitchWhen a single electrical stimulus is applied to a muscle or its motorneuron, it elicits a single contraction called a TWITCH

20

Features of a Muscle TwitchThere is always a delay between stimulus and onset of contraction

• The rate of rise of force is always faster than the rate of decline

• The force always spontaneously declines after reaching a peak

• Twitch force is approximately 10-20% of the maximum force

A muscle twitch may be varied by a variety of stimuli differences or

manipulations of the muscle itself:

• Frequency of stimulation (Hz, cycles per second)

• Duration of the stimulus pulse (msec)

• Strength of the stimulus (V or mV)

• Sarcomere length of the muscle (µm)

• Different ionic concentrations (Ca++, Mg++, ATP etc)

• Presence of pharmacological agents

21

Tetanus• A second action potential can be elicited before Ca2+ falls to resting level• The mechanical response is increased as the 2nd twich sums with the first

Tetanization is summation of twitches to produce higher force

22

Muscle Fatigue

Prolonged strong contractions leads to fatigue of the muscle caused by the inability of the contractile and metabolic processes to supply adequately to maintain the work load. The nerve continues to function properly passing the action potential onto the muscle fibers but the contractions become weaker and weaker due to the lack of ATP.

Cellular Fatigue

General Fatigue

23

Measure Soleus Contractile Function

24

Tetanus Protocol

• Adjust soleus muscle to optimal length• Stimulate soleus muscle 2s with 0.2 ms

duration, 7 volts, and 30Hz pulses

25

Fatigue Protocol

• Adjust soleus muscle to optimal length• Stimulate soleus muscle with 0.2 ms

duration, 10 volts, and 30Hz pulses at 2s interval till developed tetani force decreasing to 40% of first tetani force

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0

2 0 0

4 0 0

6 0 0

8 0 0

1 0 0 0

- 5 0 0 5 0 1 0 0 1 5 0 2 0 0 2 5 0 3 0 0 3 5 0

C o n t r o l R a t

For

ce (

mN

/cm

2 )

T i m e ( s )

Fatigue

0

2 0 0

4 0 0

6 0 0

8 0 0

1 0 0 0

- 5 0 0 5 0 1 0 0 1 5 0 2 0 0 2 5 0 3 0 0 3 5 0

H e a r t F a i l u r e ( H F ) R a t

For

ce (

mN

/cm

2 )

T i m e ( s )

Fatigue

27

Smooth Muscle

• To describe the unique features of smooth muscle in comparison to striated muscle.

• Special emphasis on control of contractile activation.

28

Comparison of Skeletal Muscle with Smooth Muscle

Smooth muscle is very different to both cardiac and skeletal muscle.

Smooth Muscle has the following main properties:

• Cells not striated• tapered cells• single central nucleus• size ranges from 5-15 µm diameter, 200-300 µm length• Gap Junctions between cells• considerable connective tissue sheaths for strength

The contractile properties of smooth muscle differ also from those of bothskeletal and cardiac muscle.

These include much slower contractions that are sustained for prolongedperiods of time.

29

Smooth Muscle Size and Shape

• Spindle shaped cells• Relatively small compared to skeletal and

cardiac muscle– 2-5 µm wide– 50-200 µm long.

30

Contractile Apparatus

• No sarcomeres (hence the name smooth)Lack neat hexagonal arrangement of actinand myosin

• Actin/myosin ratio: greater in smooth muscle (10:1) than in skeletal muscle (2:1).

31

Smooth Muscle ArchitectureSmooth Muscle Architecture

ThinFilament

IntermediateFilament

ThickFilament

DenseBody

MechanicalCoupling

GapJunction

Longitudinal Section

CrossSection

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No T-tubules and no terminal cistern systemSmooth muscle does not require action potential to contract

Poorly developed sarcoplasmic reticulumNeeds extracellular Ca++ source for contraction

Gap JunctionAllow direct electrical communications between adjacent smooth muscle cells

TropomyosinTropomyosin--TropomyosinTropomyosin ComplexComplexNo troponin present

33

Comparison of Skeletal Muscle with Cardiac Muscle

There are many similarities between skeletal and cardiac muscle but also somedistinct differences.

Cardiac cells• quite small (15-30 µm diameter, 50 µm long)• not elongated like skeletal fibres• short wider T tubules• branch and connect to adjacent cells (anastomose)• are connected by Gap Junctions and Intercalated Disks• nuclei are central rather than peripheral• contain many mitochondria (exclusively oxidative)• T tubule - SR junctions are in Dyads not Triads.